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酗酒与类型学:爱尔兰一家私立医院人群的研究结果

Alcoholism and typology: findings in an Irish private hospital population.

作者信息

Farren C K, Dinan T G

机构信息

Department of Psychiatry, St. Patrick's Hospital, Trinity College, Dublin, Ireland.

出版信息

J Stud Alcohol. 1996 May;57(3):249-52. doi: 10.15288/jsa.1996.57.249.

DOI:10.15288/jsa.1996.57.249
PMID:8709582
Abstract

OBJECTIVE

To assess the validity of alcoholic typology in an Irish private hospital population.

METHOD

We interviewed a randomly selected group of inpatient and outpatient alcoholics (N = 48, 42 male) in a private hospital in Ireland. Subjects had a structured psychiatric interview, including completion of a severity of alcohol dependence questionnaire, a Hamilton depression rating scale and a typology questionnaire.

RESULTS

We found that there were differences between groups of alcoholics when divided according to Cloninger's typology hypothesis and by Von Knorring's age of onset criteria. The Type 2 early age of onset alcoholics (n = 23) had a significantly higher percentage of positive family histories of alcoholism, (p < .01), a higher percentage of sociopathic traits (p < .01) and increased severity of alcoholism (p < .05), relative to the Type 1 late age of onset alcoholics (n = 25). The Type 2 alcoholics also had increased daily consumption of alcohol in the month prior to admission, poor behavioral tolerance to the effects of alcohol and more fights that the Type 1 alcoholics.

CONCLUSIONS

We concluded that there is validity to alcohol typology theory in relation to this Irish private hospital population and that age of onset is a useful defining criterion.

摘要

目的

评估酒精类型学在爱尔兰一家私立医院患者群体中的有效性。

方法

我们在爱尔兰一家私立医院对一组随机抽取的住院和门诊酗酒者(N = 48,42名男性)进行了访谈。受试者接受了结构化的精神病学访谈,包括完成酒精依赖严重程度问卷、汉密尔顿抑郁量表和类型学问卷。

结果

我们发现,根据克隆宁格的类型学假设和冯·诺林的发病年龄标准进行划分时,酗酒者群体之间存在差异。与1型晚发酗酒者(n = 25)相比,2型早发酗酒者(n = 23)有酗酒家族史阳性的比例显著更高(p < .01),反社会特质的比例更高(p < .01),酗酒严重程度更高(p < .05)。2型酗酒者在入院前一个月的每日饮酒量也更多,对酒精作用的行为耐受性较差,且比1型酗酒者有更多打斗行为。

结论

我们得出结论,酒精类型学理论对于该爱尔兰私立医院患者群体是有效的,且发病年龄是一个有用的定义标准。

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